NUR 635 FINAL REVIEW QUESTIONS AND CORRECT ANSWERS

NUR 635 FINAL REVIEW QUESTIONS
AND CORRECT ANSWERS
FirstA2lineA2tmtA2forA2aA2previouslyA2healthyA2personA2whoA2developsA2CAP?A2-A2Ans--
Azirthomycin

IfA2youA2seeA2SSRIA2(selectiveA2serotoninA2reuptakeA2inhibitor)A2andA2St.A2John'sA2wortA2t
ogether?A2-A2Ans--SerotoninA2syndrome

HypersensitivityA2withA2Phenytoin?A2-A2Ans--3-
8A2weeksA2afterA2treatmentA2canA2occurA2(overlyA2sensitiveA2toA2thisA2medicationA2andA2h
aveA2adverseA2reactions)

ThisA2wouldA2lookA2likeA2aA2characteristicA2rash,A2fever,A2leukocytosis

CarbamazepineA2canA2auto-metabolize?A2-A2Ans--YES.A2

ThisA2canA2auto-metabolizeA2soA2youA2willA2endA2upA2withA2lowerA2levels

IfA2aA2patientA2hasA2beenA2inA2range,A2andA2nothingA2hasA2changed,A2itA2isA2dueA2toA2thisA2
mediationA2auto-
metabolizingA2soA2theA2levelsA2areA2lowerA2despiteA2themA2takingA2medicationA2withA2com
pliance

INCREASEA2theA2dose

CarbamazepineA2blackA2box?A2-A2Ans--StevenA2JohnsonsA2Syndrome

CarbamazepineA2monitoringA2-A2Ans--MonitorA2aA2CBC,A2everyA23-
4A2monthsA2toA2watchA2forA2agranulocytosis

GabapentinA2-A2Ans--ThisA2affectsA2GABA,A2andA2isA2usedA2toA2treatA2neurontinA2pain

WhenA2youA2drinkA2alcoholA2thereA2areA2moreA2GABAA2production

AA2patientA2isA2onA2gabapentinA2andA2havingA2strangeA2thoughts,A2whatA2doA2youA2needA2
toA2askA2them?A2-A2Ans--YouA2needA2toA2askA2aboutA2suicidalA2ideation

WorriedA2aboutA2aA2patientA2havingA2aA2reactionA2toA2lamotrigine?A2-A2Ans--
ThisA2hasA2aA2highA2riskA2forA2hypersensitivity

, HowA2doA2LamotrigineA2andA2oralA2contraceptivesA2interact?A2-A2Ans--
ReducesA2theA2lamotrigineA2levelsA2thusA2youA2endA2upA2increasingA2theA2lamotrigineA2do
se

TCAA2antidepressants,A2whatA2comorbiditiesA2shouldA2youA2avoidA2whenA2prescribingA2th
em?A2-A2Ans--CardiacA2disease

HowA2longA2areA2weA2goingA2toA2tellA2patientsA2thatA2theyA2areA2goingA2toA2seeA2aA2respon
seA2withA2anA2SSRI?A2-A2Ans--2-6A2weeks

IfA2youA2haveA2aA2schizophrenicA2patientA2andA2youA2giveA2themA2haldolA2whatA2doA2youA2
assessA2for?A2-A2Ans--ExtrapyramidalA2symptomsA2(EPS)

DoA2notA2needA2peakA2andA2trough.A2ShouldA2haveA2continuousA2EKGA2butA2EKGA2willA2n
otA2helpA2monitorA2forA2EPS.

WillA2theA2betaA2agonistA2overpowerA2theA2digoxin?A2-A2Ans--
AA2betaA2agonistA2anythingA2withA2dysrhythmiaA2willA2speedA2upA2theA2HR

DigoxinA2isA2dysrhythmicA2andA2slowsA2downA2theA2HR.

DoA2weA2giveA2aA2betaA22A2agonistA2(albuterol)A2withA2thoseA2withA2aA2pheochromocytom
aA2(putsA2youA2atA2riskA2forA2HTN)?A2-A2Ans--
NOA2becauseA2itA2willA2causeA2aA2HypertensiveA2crisisA2onA2theA2adrenalA2glands

YouA2haveA2moderateA2persistentA2asthma,A2whichA2medicationA2hasA2aA2blackA2boxA2wa
rningA2againstA2usingA2itA2asA2aA2singularA2agentA2toA2treatA2this?A2-A2Ans--
YouA2doA2notA2treatA2asthmaA2patientsA2orA2shouldA2cautiouslyA2asA2thereA2isA2anA2increa
sedA2riskA2withA2asthmaA2patientsA2whenA2usingA2LABAA2(salmeterolA2andA2formoterol)

BlackA2boxA2warningA2isA2thatA2reportsA2forA2severeA2asthmaA2exacerbationsA2occurA2thus
A2causingA2death


SpirivaA2-A2Ans--inhalesA2anticholinergicsA2usedA2forA2theA2tmtA2ofA2COPD

IfA2youA2prescribeA2someoneA2withA2beclomethasoneA2howA2shouldA2theyA2useA2it?A2-
A2Ans--InhaledA2corticosteroid


RinseA2andA2spitA2after,A2spacersA2areA2good

USEA2EVERYDAY,A2thisA2isA2notA2aA2PRNA2inhaler

Montelukast(singular)A2sideA2effects?A2-A2Ans--
Aggression,A2anxiety,A2depressionA2andA2suicidalA2ideationA2areA2mentalA2healthA2issuesA
2whenA2takingA2thisA2medication